Is Chimney EVAR an Acceptable Endovascular Technique ?

Ballesteros-Pomar et  al.1 report a case of pararenal aneurysm treated by a chimney EVAR technique, complicated by a persistent type Ia endoleak, treated three months later by embolisation of the endoleak with coils and onyx. Although use of the Chimney EVAR technique in the management of aortic aneurysms is currently in fashion, this type of intervention constitutes an experimental model for proximal peri-prosthetic endoleak whose incidence is largely undervalued.
Source: EJVES Extra - Category: Surgery Authors: Source Type: research